Active NPI
Lynn J Hamilton, LICDC
- Addiction (Substance Use Disorder) Counselor
- Powell, OH
National Provider Identifier
1821252933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 902784
- Practice address
- 18 Grace Dr
Powell, OH 43065 - Phone
- (614) 888-3377
- Fax
- (614) 885-5855
- NPI assigned
- Jul 17, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 902784 | OH | Primary |
Addresses
Primary practice location
18 Grace Dr
Powell, OH 43065
Mailing address
18 Grace Dr
Powell, OH 43065
Phone (614) 888-3377
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 902784 | Other | PA | CHEMICAL DEPENDANCY PROFESSIONAL BOARD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 902784 | OH | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216252800000",
"number": "1821252933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 GRACE DR",
"city": "POWELL",
"state": "OH",
"postal_code": "43065",
"telephone_number": "614-888-3377",
"fax_number": "614-885-5855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 GRACE DR",
"city": "POWELL",
"state": "OH",
"postal_code": "43065",
"telephone_number": "614-888-3377",
"fax_number": "614-885-5855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILTON",
"first_name": "LYNN",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "LICDC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-17",
"last_updated": "2008-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "902784",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHEMICAL DEPENDANCY PROFESSIONAL BOARD",
"identifier": "902784",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Powell, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.